Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $2,884.03 / $7,762.47	Facility		$831.76	$2,884.03	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $501.19 / $1,096.48	Professional		$398.11	$501.19	$1,096.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $3,235.94 / $10,471.29	Facility		$2,630.27	$3,235.94	$10,471.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Facility		$1,905.46	$1,905.46	$1,905.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $660.69 / $977.24	Professional		$436.52	$660.69	$977.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $812.83 / $2,137.96	Professional		$512.86	$812.83	$2,137.96
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $602.56 / $676.08	Professional		$562.34	$602.56	$676.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $524.81	Professional		$32.36	$33.11	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,290.87 / $4,897.79	Facility		$1,096.48	$2,290.87	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $549.54 / $977.24	Professional		$416.87	$549.54	$977.24